PMID- 14667617
OWN - NLM
STAT- MEDLINE
DCOM- 20040116
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 76
IP  - 6
DP  - 2003 Dec
TI  - Long-term results of reoperative mitral valve surgery in patients with rheumatic 
      disease.
PG  - 1939-43; discussion 1943
AB  - BACKGROUND: Reoperative (redo) mitral valve surgery is still a continuing 
      challenge to surgeons. The aim of this study was to detect the factors that 
      affect late mortality or morbidity after redo mitral valve surgery in patients 
      with rheumatic disease. METHODS: Between May 1983 and February 2003, 92 patients 
      who underwent redo mitral valve surgery for rheumatic disease were enrolled. Risk 
      factors influencing survival or cardiac events were investigated with univariate 
      analysis and a Cox model. RESULTS: Operative mortality rate was 4.2%. 
      Kaplan-Meier actuarial analysis demonstrated an 84.7% 5-year, a 69.5% 10-year, 
      and a 65.9% 15-year survival. Multivariate analysis demonstrated that age at 
      surgery and preoperative New York Heart Association (NYHA) class were found to be 
      independent predictors of late deaths, and that higher age, advanced NYHA class, 
      and previous mitral valve replacement were independent predictors of cardiac 
      events. CONCLUSIONS: Redo mitral valve surgery can be achieved with low early 
      mortality. However, long-term results of redo mitral surgery are not necessarily 
      satisfactory in patients with preoperative advanced NYHA class or with a previous 
      mechanical heart valve, and especially in 60 years or older age.
FAU - Matsuyama, Katsuhiko
AU  - Matsuyama K
AD  - Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara, Japan. 
      kmatsuy@f3.dion.ne.jp
FAU - Matsumoto, Masahiko
AU  - Matsumoto M
FAU - Sugita, Takaaki
AU  - Sugita T
FAU - Nishizawa, Junichiro
AU  - Nishizawa J
FAU - Kawansihi, Yujiro
AU  - Kawansihi Y
FAU - Uehara, Kyokuu
AU  - Uehara K
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Actuarial Analysis
MH  - Adult
MH  - Aged
MH  - Cardiac Surgical Procedures/adverse effects/mortality
MH  - Female
MH  - Heart Valve Prosthesis/adverse effects
MH  - Heart Valve Prosthesis Implantation/adverse effects
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Multivariate Analysis
MH  - Postoperative Complications
MH  - Proportional Hazards Models
MH  - Reoperation
MH  - Rheumatic Heart Disease/mortality/*surgery
MH  - Survival Rate
EDAT- 2003/12/12 05:00
MHDA- 2004/01/17 05:00
CRDT- 2003/12/12 05:00
PHST- 2003/12/12 05:00 [pubmed]
PHST- 2004/01/17 05:00 [medline]
PHST- 2003/12/12 05:00 [entrez]
AID - S0003497503010610 [pii]
AID - 10.1016/s0003-4975(03)01061-0 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2003 Dec;76(6):1939-43; discussion 1943. doi: 
      10.1016/s0003-4975(03)01061-0.